Full Cost is payable prior to the first night and is €64 for the 5 week term (note: the course card will be valid for 8 weeks so if you miss one or two weeks over the 5 week period, you can make them up later when class size permits). You can purchase the class card online: http://iyoga.ie/prices/ or call into the studio to pay.

* Required

Intro Term Start Date *

Please write the date (if known) of the term you'd like to join; answer nearest available date if you're flexible re: start dates

Your answer

Name *

Your answer

Surname *

Your answer

Date of birth

Your answer

Emergency contact (name & number) *

Your answer

Address *

Your answer

Phone *

Your answer

Email *

Your answer

Would you like to be included in our mailing list? *

Yes

No

Required

Age *

under 18

18-21

21-25

25-30

30-35

35-40

40-45

45-50

over 60

Required

Health *

Please list any health conditions you have had in the past 5 years (answer none if applicable)